Individual
MR. JAMES WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA DEGREE
Contact information
Practice address
2045 S SAN JACINTO AVE, SAN JACINTO, CA 92583-5626
(951) 929-7700
Mailing address
28437 HEATHER GREEN WAY, MENIFEE, CA 92584-1600
(760) 390-5557
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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